This article isn’t interested in keto or
fasting just adding one or two more drugs to the cocktail not one entry for keto or fasting
Lis, Pawel,
Mariusz Dylag, et al, Molecules 2016 21(12), 1730, The HK2
Dependent “Warburg Effect” and Mitochondrial Oxidative Phosphorylation in
Cancer: Targets for Effective Therapy with 3-Bromopyruvate Full
https://www.mdpi.com/1420-3049/21/12/1730/htm FULL
The HK2 Dependent “Warburg Effect” and
Mitochondrial Oxidative Phosphorylation in Cancer: Targets for Effective
Therapy with 3-Bromopyruvate
Abstract
:
This review summarizes the current state of
knowledge about the metabolism of cancer cells, especially with respect to the
“Warburg” and “Crabtree” effects. This work also summarizes two key
discoveries, one of which relates to hexokinase-2 (HK2), a major player in both
the “Warburg effect” and cancer cell immortalization. The second discovery
relates to the finding that cancer cells, unlike normal cells, derive as much
as 60% of their ATP from glycolysis via the “Warburg effect”, and the remaining
40% is derived from mitochondrial oxidative phosphorylation. Also described are
selected anticancer agents which generally act as strong energy blockers inside
cancer cells. Among them, much attention has focused on 3-bromopyruvate (3BP).
This small alkylating compound targets both the “Warburg effect”, i.e.,
elevated glycolysis even in the presence oxygen, as well as mitochondrial
oxidative phosphorylation in cancer cells. Normal cells remain unharmed. 3BP
rapidly kills cancer cells growing in tissue culture, eradicates tumors in
animals, and prevents metastasis. In addition, properly formulated 3BP shows
promise also as an effective anti-liver cancer agent in humans and is effective
also toward cancers known as “multiple myeloma”. Finally, 3BP has been shown to
significantly extend the life of a human patient for which no other options
were available. Thus, it can be stated that 3BP is a very promising new
anti-cancer agent in the process of undergoing clinical development.
unlike normal cells,
derive as much as 60%
of their ATP from glycolysis via the “Warburg effect”, and the remaining 40% is derived from
mitochondrial oxidative
phosphorylation. [DOUBTS
IT IS 40% THEN FASTING KETO WOULD ALWAYS FAIL] Also described are selected anticancer
agents which generally act as strong energy blockers inside cancer cells. Among
them, much attention has focused on 3-bromopyruvate (3BP). This small
alkylating compound targets both the “Warburg effect”, i.e., elevated
glycolysis even in the presence oxygen, as well as mitochondrial oxidative
phosphorylation in cancer cells. Normal cells remain unharmed. 3BP rapidly
kills cancer cells growing in tissue culture, eradicates tumors in animals, and
prevents metastasis. In addition, properly formulated 3BP shows promise also as
an effective anti-liver cancer agent in humans and is effective also toward
cancers known as “multiple myeloma”. Finally, 3BP has been shown to
significantly extend the life of a human patient for which no other options
were available. Thus, it can be stated that 3BP is a very promising new
anti-cancer agent in the process of undergoing clinical development.
high glycolysis even in the presence of oxygen, may
provide up to 60% of the ATP with the remaining (~40%) being derived from
mitochondrial oxidative phosphorylation [5] As
stated above, it should be appreciated that the “Warburg effect” allows
cancerous tumors and the viscous cells that comprise them to adapt to hypoxic
conditions which frequently develop during their growth [6].
Although uncommon, there are exceptions as some gliomas, hepatomas, and breast
cancer cell lines are more dependent on mitochondrial oxidative phosphorylation
for their energy source, i.e., ATP [7].
This can be explained by the presence of various bioenergetic phenotypes from
the exclusively glycolytic to highly oxidative phosphorylation [8]. Apart from the “Warburg effect”, some cancers
also exhibit a phenomenon of the so called “Crabtree effect”. It is short-term
and reversible (unlike the “Warburg effect”) and involves the suppression of
respiration and oxidative phosphorylation by a high concentration of glucose [11,12].
Moreover, it has been shown many times that cancer cells can reversibly
regulate their energy metabolism. This phenomenon observed in vitro must exist
also in vivo. With respect to the tumor architecture, the metabolic symbiosis
may be considered as a niche where a hypoxic central part utilizes glucose
while an edge of the tumor which is better vascularized uses lactate as a
substrate [16].
Therefore, some of the cancer cells within a tumor may have a different
phenotype than the other cells [17].
Thus, the ability of cancer cells to undergo short-term and reversible changes
in their metabolism may also allow them to avoid the toxic effect of a drug.
This is possible as it has been shown in experiments performed in vitro [18,19].
. . but also amino
acids, mostly glutamine, which in addition to serving as
an energy source [21]
is also a source of amine groups essential for many biosynthetic events, e.g.,
production of purines and pyrimidines [22].
In addition, cancer cells may utilize metabolic pathways that are highly energy
producing, e.g., the mitochondrial beta-oxidation of fatty acids [23].
Finally, it is important to note that the products and intermediates of
glycolysis and glutaminolysis are used in the synthesis of many of the
molecules needed for intense proliferation [20].. .2-DG, citrate, and 3-bromopyruvate (3BP)
have all been tested recently as potential anticancer drugs acting either via
glycolysis inhibition (2-DG and citrate) or glycolysis plus mitochondrial
inhibition (3BP). It was shown in vitro that 7-days therapy with 5 mM 2-DG
resulted in a strong but incomplete inhibition of growth (60% to over 90%) in
12 different cancer cell lines [51].
A dramatic 100% mortality was shown in the MSTO-211H lung mesothelioma cell
line after treating first for 3 days with 10 mM citrate, a physiological
inhibitor of PFK1 [52,53],
and then with a low dose of cisplatin [54].{but they didn’t
try them with keto and fasting]
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